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目的了解云南省2012—2016年食源性致病菌的污染状况,为预防食源性疾病的暴发提供参考依据。方法对2012—2016年通过国家“食源性疾病暴发监测系统”上报的食源性致病菌污染事件进行整理分析。结果云南省2012—2016年通过国家“食源性疾病暴发报告系统”共报告食源性致病菌污染事件160起,中毒6 785人,死亡12人,分别占同期云南省食物中毒事件相应统计项总数的5.11%、6.06%及3.58%。致病菌中毒起数和中毒人数排名前3位的致病菌种为沙门菌、金黄色葡萄球菌和蜡样芽胞杆菌。致死率最高的菌种为椰毒假单胞菌酵米面亚种;致病菌中毒起数和中毒人数排名前3位的致病食品类型为肉与肉制品、混合食品及蔬菜类食品。但致死率较高的食品来源是粮食类。学校食堂发生食源性致病菌污染中毒人数占36.70%,家庭发生食源性致病菌污染事件数占31.25%。由于加工不当导致的食源性致病菌污染发生事件数和中毒人数分别占比40.00%,50.49%。因误食误用导致的死亡占死亡人数的50.00%。结论食源性致病菌污染是较为严重的公共卫生事件,应采取有效措施对高发季节、高发场所、重点菌种及主要食品进行重点监测和管理。加强致病菌中毒的相关研究和事件调查处置,做好相关科普宣传等,是预防和控制致病菌中毒事件的有效措施。
Objective To understand the pollution status of food-borne pathogens from 2012 to 2016 in Yunnan province and provide a reference for preventing the outbreak of food-borne diseases. Methods The contamination of foodborne pathogens reported by the National Foodborne Disease Outbreak Monitoring System from 2012 to 2016 was analyzed. Results From 2012 to 2016, Yunnan Province reported a total of 160 food-borne pathogenic contamination incidents through its national “Foodborne Disease Outbreak Reporting System”, causing 6 785 to be poisoned and 12 deaths, accounting for the total number of food poisoning incidents in Yunnan Province The corresponding statistics of the total number of 5.11%, 6.06% and 3.58%. Pathogenic bacteria poisoning count and the number of poisoning the top three pathogens Salmonella, Staphylococcus aureus and Bacillus cereus. The highest lethal rate was Coconut Pseudomonas yeast. The pathogenic types of food poisoning caused by poisoning and poisoning were meat and meat products, mixed food and vegetable food. However, the higher fatality rate of food sources is food. The number of food poisoning caused by food-borne pathogens in school canteens was 36.70%, and the number of food-borne pathogenic bacteria polluted families was 31.25%. Food poisoning caused by improper processing of foodborne pathogens and the number of poisoning accounted for 40.00%, 50.49%. Death from misuse of food accounts for 50.00% of deaths. Conclusion The contamination of foodborne pathogens is a serious public health event. Effective measures should be taken to monitor and manage the high incidence season, high incidence sites, key species and major foodstuffs. To strengthen the pathogens poisoning related research and incident investigation and disposal, well-related science popularization, etc., is to prevent and control pathogenic poisoning incidents effective measures.